Latest Articles

  • Hypertension in the elderly: Some practical considerations
    Kashif N. Chaudhry, MD, Patricia Chavez, MD, Jerzy Gasowski, MD, Tomasz Grodzicki, MD and Franz H. Messerli, MD, FACC, FACP
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 694-704; DOI: https://doi.org/10.3949/ccjm.79a.12017

    Treatment is challenging because of comorbidities and age-related changes. Some common scenarios are presented.

  • Hypertensive chronic kidney disease in African Americans: Strategies for improving care
    David Martins, MD, MS, Lawrence Agodoa, MD and Keith C. Norris, MD, FACP, FASN
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 726-734; DOI: https://doi.org/10.3949/ccjm.79a.11109

    Factors responsible for its rapid progression in African Americans are detectable by screening and modifiable with prompt therapy.

  • A 60-year-old man with abdominal bruising
    Deepan Dalal, MD and Sharon E. Mace, MD, FACEP, FAAP
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 688-689; DOI: https://doi.org/10.3949/ccjm.79a.10039

    A man with liver cancer developed abdominal ecchymoses resembling the Cullen sign and flank ecchymoses resembling the Grey Turner sign.

  • Home testing for HIV: Hopefully, a step forward
    Christine E. Koval, MD
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 713-716; DOI: https://doi.org/10.3949/ccjm.79a.12128

    An over-the-counter at-home test has been approved. Will it lower the number of infected people unaware of their infection?

  • Flashing lights, floaters, and reduced vision
    Abdul Hamid Alraiyes, MD, M. Chadi Alraies, MD, Francisco Aécio Almeida, MD, MS and Arun D. Singh, MD
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 616-618; DOI: https://doi.org/10.3949/ccjm.79a.11141

    A 62-year-old woman has numerous lobulated, yellowish, choroidal lesions in the left eye, and two similar but smaller lesions in the right eye. What is the cause?

  • Using the ankle-brachial index to diagnose peripheral artery disease and assess cardiovascular risk
    Using the ankle-brachial index to diagnose peripheral artery disease and assess cardiovascular risk
    Esther S. H. Kim, MD, MPH, Keattiyoat Wattanakit, MD, MPH and Heather L. Gornik, MD, MHS
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 651-661; DOI: https://doi.org/10.3949/ccjm.79a.11154

    The authors seek to convince you to measure the ankle-brachial index in any patient you suspect may have peripheral artery disease, whether or not they have symptoms.

  • Immune thrombocytopenia in adults: An update
    Swapna Thota, MD, Gaurav Kistangari, MD, Hamed Daw, MD and Timothy Spiro, MD
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 641-650; DOI: https://doi.org/10.3949/ccjm.79a.11027

    Management has changed in the last decade, with new drugs and with increased awareness of treatment side effects.

  • A woman with a swollen uvula
    Saurabh Anil Pande, MD, Kanwal Raghav, MD, Shivani Mehta, MD, Gurinder Babbar, MBBS and Saurabh Kandpal, MD
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 600-601; DOI: https://doi.org/10.3949/ccjm.79a.11084

    A woman on patient-controlled analgesia with morphine suddenly develops shortness of breath because of uvular swelling obstructing the airway. What is the diagnosis?

  • The ‘T’ in ITP remains
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 595; DOI: https://doi.org/10.3949/ccjm.79b.12009

    The “I” has changed its meaning and the “P” is not necessary to make the diagnosis, but the disease formerly known as idiopathic thrombocytopenic purpura (ITP) remains important to diagnose.

  • Fever, dyspnea, and hepatitis in an Iraq veteran
    Ramiro L. Gutiérrez, MD, MPH and Joshua D. Hartzell, MD
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 623-630; DOI: https://doi.org/10.3949/ccjm.79a.11136

    About 8 weeks after returning home, he presents with a cough, myalgia, headaches, fever, chills, drenching night sweats, and dyspnea on exertion. What is the most likely diagnosis?

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